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The deleterious mental health effects associated with the COVID‐19 pandemic are increasingly apparent, however, questions remain about the extent to which pandemic‐related stressor exposure has contributed to increased psychological distress among an already disadvantaged group, individuals with disabilities. The first aim of the study was to examine the distribution of pandemic‐related stressors across multiple dimensions—employment, personal and family finances, personal relationships, and quality of social life—among individuals with and without disabilities. The second aim of the study was to examine the association between a composite COVID‐19 stressor score and two mental health outcomes—depressive and anxiety symptoms—among the two subsamples. The study used quota‐based online survey data (N = 2043) collected in the summer of 2020 from adults (18 and older) residing in the Intermountain West, half of whom had a self‐reported disability. Study results demonstrated that individuals with disabilities experienced pandemic‐related stressors at significantly higher rates relative to their non‐disabled counterparts. Further, pandemic stressor exposure was associated with greater negative effects on their psychological well‐being. We argue that the COVID‐19 pandemic is generating a secondary mental illness pandemic, and that individuals with disabilities are affected by it at significantly higher proportions. [ABSTRACT FROM AUTHOR]

The present study evaluated gender differences in the associations of functional limitation with food insecurity and depressive symptoms. Using data from 3,624 respondents ages 18to 80 years from two pooled cross-sectional cycles (2011–2012 and 2013–2014) of the National Health and Nutrition Examination Survey (NHANES), a structural equation model was estimated to assess gender differences in the association between physical limitation and food insecurity, and whether indicators of economic resources mediated an observed interaction. Results demonstrate that food insecurity accounted for about one-tenthof the association between functional limitation and depressive symptoms. Furthermore, these associations were more pronounced among women and were not explained by variation in economic resources. Food insecurity thus appears to be an indicator of psychological adversity among people with functional limitations, especially women, independent of other indicators of economic resources and hardship. Health promotion and social programs should address food insecurity as a unique dimension of adversity in efforts to improve health and well-being. [ABSTRACT FROM AUTHOR]

Abstract Social influence is a key determinant of health behaviors and outcomes. Research in the social network tradition emphasizes social structural mechanisms like network content (i.e., the degree to which particular attitudes, attributes, or behaviors are present in the network) and social proximity (i.e., opportunities for social interaction). In contrast, psychologists are oriented toward the individual, identifying how personality traits like self-monitoring affect susceptibility to peer pressure. Here, we integrate social network and personality approaches, examining social influence on body size using surveys of 379 adults with dependent children. Our findings suggest that the association between social network body size composition and respondent BMI is contingent on both individual susceptibility to influence (i.e., high self-monitoring) and social proximity (i.e., opportunities for co-eating). These results indicate that individuals embedded in social networks bring unique sets of social skills and orientations to interactions, potentially influencing the flow of content across networks. Highlights • Social network and personality approaches to social influence are seldom integrated. • Developed a scale to measure self-monitoring of eating behavior in social settings. • Found associations between social network body size composition and respondent BMI. • Social influence was contingent on individual self-monitoring and social proximity. • Personality may affect receptiveness to influence and transmission of network content. [ABSTRACT FROM AUTHOR]

Objectives: Despite increased awareness of obesity-related health risks and myriad treatment options, obesity still affects more than one-third of persons in the United States and is a substantial public health problem. Studies show that physicians play a key role in obesity prevention and treatment. The objective of this study was to examine the extent to which obesity is diagnosed and treated at the level of patient-physician interaction. Methods: We used data from the National Ambulatory Medical Care Survey (NAMCS), a nationally representative data set of US physician office visits. We estimated the number of obesity diagnoses and prescriptions of weight-loss management solutions (exercise counseling, diet counseling, or weight-loss drugs) in clinical practice from 1996 through 2014. We also calculated rates of obesity diagnosis and compared these rates with national rates of obesity based on body mass index data from the Behavioral Risk Factor Surveillance System (BRFSS) for the same period. Results: The estimated number of weight gain–related physician office visits increased from 2.3 million in 1996 to a peak of 7.6 million in 2012, and then fell to 4.5 million in 2014. National estimates of obesity diagnoses resulting from physician office visits ranged from 7.1 million in 1996 to 12.7 million in 2014 and substantially outnumbered the estimates for weight gain–related physician office visits throughout the study period. Estimates of exercise counseling and diet counseling and weight-loss medication prescriptions resulting from physician office visits fluctuated over time but never exceeded obesity diagnoses. When compared with national rates of obesity from the BRFSS, rates of obesity diagnoses resulting from physician office visits were substantially lower in the NAMCS (17%-30% vs 1%). National trends for weight-loss medication prescriptions closely mirrored those of weight gain–related physician office visits, even though fluctuations were substantial. Conclusions: Our results suggest that obesity is largely underdiagnosed and undertreated in clinical encounters. Future studies should investigate the structural changes needed to better engage physicians in obesity prevention and care. Practitioners should also reflect on their biases in treating obesity as a chronic disease. [ABSTRACT FROM AUTHOR]